Provider Demographics
NPI:1346513660
Name:DR. CURTIS COLLINS, A CHIROPRACTIC CORPERATION
Entity Type:Organization
Organization Name:DR. CURTIS COLLINS, A CHIROPRACTIC CORPERATION
Other - Org Name:COLLINS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:W
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-836-2226
Mailing Address - Street 1:5500 MING AVE
Mailing Address - Street 2:STE # 170
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309
Mailing Address - Country:US
Mailing Address - Phone:661-836-2226
Mailing Address - Fax:661-836-2223
Practice Address - Street 1:5500 MING AVE
Practice Address - Street 2:STE # 170
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4689
Practice Address - Country:US
Practice Address - Phone:661-836-2226
Practice Address - Fax:661-836-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12 00119415111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1669406567OtherINDIVIDUAL NPI